CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Excela Health - Frick Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $190
Cash Discount Price: $847
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Excela Health - Frick Hospital is $190. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $847. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.06x the Medicare baseline. Located in 508 South Church Street, Mount Pleasant, PA.

Cash / Self-Pay

$847

Average discount available for prompt cash payment at this facility.

Insurance Median

$190

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $847 (473%)

Insurance Median: $190 (106%)

Cash: $847 (473% of Medicare)

Ins. Median: $190 (106% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Geisinger	$161 - $188	90%
Health Partners Plans	$161	90%
Highmark Wholecare	$165 - $195	92%
Highmark Advantage Community Blue	$167	93%
Upmc	$170 - $194	95%
Amerihealth Caritas	$174 - $188	97%
Pa Health And Wellness	$174 - $192	97%
Upmc For Kids Chip	$177	99%
Senior Life	$179	100%
Va	$179	100%
Aetna	$185 - $412	103%
Health Partners Plan	$185	103%
Martin'S Point	$185	103%
Peak Health	$185 - $421	103%
The Health Plan Of West Virginia	$185 - $421	103%
Humana	$186	104%
United	$186	104%
Cigna	$188 - $396	105%
Devoted	$188	105%
American Health Plan Of Pa	$197	110%
Provider Network Of America	$197 - $1,130	110%
Provider Plan Partners Plan	$197	110%
Upmc Health Plan	$208 - $778	116%
Highmark Children'S Health Insurance Program	$216	121%
Ambetter / Centene	$224	125%
Highmark	$242 - $395	135%
Velocity	$269	150%
Community Blue	$356	199%
UnitedHealthcare	$457	255%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $847.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Excela Health - Frick Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.